Diabetes Mellitus and Periodontal Disease

Finestone, Albert J.; Boorujy, Samuel R

doi:10.2337/diab.16.5.336

Cited by 105 publications

(50 citation statements)

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“…Those patients in the 'inconclusive group' had lost their teeth almost completely, probably because of severe periodontitis and/or caries. While a high incidence of periodontitis has been noted in diabet ics [4], and it was shown that the degree of periodontal disorders was significantly correlated with age, variance of blood sugar, and duration of diabetes [4], no signifi cant differences were noted in the period of diabetes, blood glucose level, or hemoglobin A in the present investigation. Other parameters which are related to par athyroid function did not show significant differences between the inconclusive and conclusive groups.…”

Section: Discussioncontrasting

confidence: 38%

Abnormal Calcium Metabolism in Hemodialyzed Patients with Diabetic Nephropathy

Mori¹,

K²,

Nishizawa³

et al. 1984

Nephron

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Calcium metabolism was studied in hemodialyzed patients with diabetes mellitus nephropathy (HD/ DM) and in hemodialyzed nondiabetic patients with chronic glomerulonephritis (HD/non-DM). Incidence of bone changes visible in X-ray films, assessed by changes in the lamina dura and trabecular patterns of mandibulae, was less in HD/DM than in HD/non-DM patients. Serum c-terminal parathyroid hormone was significantly lower in HD/DM than that in HD/non-DM. Serum calcitonin was higher in HD/DM than that in HD/non-DM. The lower level of c-terminal parathyroid hormone would be a reason that bone changes were less in HD/DM than in HD/non-DM patients.

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Section: Discussioncontrasting

confidence: 38%

Abnormal Calcium Metabolism in Hemodialyzed Patients with Diabetic Nephropathy

Mori¹,

K²,

Nishizawa³

et al. 1984

Nephron

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“…The treatment of periodontal disease is to prevent progression of the disease and to preserve the dentition. This was not a new idea, but had been proposed by Finestone and Boorujy in 1967 [88].…”

Section: Diabetes and Periodontitismentioning

confidence: 93%

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

Santacroce¹,

Carlaio²,

Bottalico³

2010

EMIDDT

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Epidemiological studies indicated that more than 15% of the population in western countries suffer because of severe forms of periodontitis, In this respect, the recognition of the relationship between oral and systemic health is growing, thus receiving remarkable interest in scientific literature. In fact, periodontitis may increase the risk for a group of life-threatening conditions such as atherosclerosis, stroke or low birth weight. The American Diabetes Association has reported that individuals with uncontrolled diabetes (defined as 200mg/dL of glucose on three consecutive readings) undergo an increased risk of infections, abnormal wound healing and consequent increased recovery time. Moreover, diabetics may be more likely to develop periodontal and cardiovascular disease than non diabetics, if note. History of poorly controlled chronic periodontal disease can alter diabetic/glycemic control. This may originate from a likely continuous passege of bacterial toxins and/or bacteria into the bloodstream, and/or from an exaggerated release of inflammatory mediators. This review is aimed at elucidating the connections between the status of oral health and glycemic control in diabetes.

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“…The relationship between diabetes mellitus and periodontal disease has been studied extensively, but the interpretation of the results is complicated by findings that the prevalence of both diseases increases with age, and that well-controlled diabetics may not exhibit more gingivitis or destructive periodontitis than non-diabetics (Finestone and Boorujy, 1967;Sznajder et al, 1978). As a result, some studies have failed to confirm the relationship between diabetes and periodontal disease (Mackenzie and Millard, 1963;Beneviste et al, 1967;Hove and Stallard, 1970;Tenovuo et al, 1986), while other investigators have supported it through their findings (Belting et al, 1964;Sznajder et al, 1978;Cianciola et al, 1982).…”

Section: Introductionmentioning

confidence: 93%

The Prevalence of Root Caries in a Diabetic Population

Tavares¹,

DePaola²,

Soparkar³

et al. 1991

J Dent Res

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The objective of this study was to assess the level of root caries in a population of diabetic adults. Diabetics are of special interest because they are alleged to be periodontally compromised and have atypical patterns of refined carbohydrate ingestion. Diabetic subjects were patients of the Joslin Diabetic Center in Boston and had significantly elevated blood glucose and glycosylated hemoglobin levels over at least a ten-year period. Eligible subjects had to be between the ages of 45 and 65 and have a minimum of ten teeth and three sites with recession. Data were collected on coronal caries, oral hygiene, gingivitis, pocket depth, recession, and root caries and were compared with data from control subjects from a larger non-diabetic study group. There were 88 diabetics and 185 controls with mean ages of 55.7 and 56.3 years, respectively. The groups were found to be similar with respect to the numbers of buccal surface sites with gingival recession and the numbers of carious root lesions. There was a distinct difference, however, with respect to restored root surfaces: 1.76 mean filled surfaces were observed in the controls, as compared with 0.49 in the diabetics. A Katz Root Caries Index (for which lesions are calculated as a percentage of the numbers of exposed root surfaces) was determined to be 15.2 for the controls and 7.1 for the diabetics. A reasonable inference is that these differences are the result of a restricted ingestion of refined carbohydrates by the diabetic group. This was confirmed by a dietary survey of subsamples from the diabetic and non-diabetic groups.

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Diabetes Mellitus and Periodontal Disease

Cited by 105 publications

References 0 publications

Abnormal Calcium Metabolism in Hemodialyzed Patients with Diabetic Nephropathy

Abnormal Calcium Metabolism in Hemodialyzed Patients with Diabetic Nephropathy

Does It Make Sense that Diabetes is Reciprocally Associated with Periodontal Disease?

The Prevalence of Root Caries in a Diabetic Population

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